Financial Assistance Resources

Financial Assistance Resources

Amounts Generally Billed

Amounts Generally Billed means the amounts generally charged to patients for emergency and medically necessary services who have insurance for such services. Charges for patients who are eligible for financial assistance shall be limited to no more than amounts generally billed (“AGB”) for such services. These charges are based on the average allowed amounts from Medicare and commercial payers for emergency and other medically necessary care. The allowed amounts include both the amount the insurer will pay and the amount, if any, the individual is personally responsible for paying. The AGB is calculated using the look back method per 26 CFR §1.501(r).

AGB

Baltimore

See below*

Hampton Roads

25%

Kentucky

25%

Rappahannock

25%

Richmond

25%

South Carolina

20%

*Because both Maryland law and Federal tax law limit the amounts that may be charged to patients, a Financial Aid-eligible individual or an uninsured individual will not be charged more than the lesser of the Amount Generally Billed or the regulated charge set by the Maryland Health Services Cost Review Commission for emergency or other medically necessary care.

Further information regarding the Amounts Generally Billed discount is available by calling customer service at 877-342-1500.